Volume 12, Issue 2 (2024)                   Health Educ Health Promot 2024, 12(2): 347-356 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Babaei M, Simbar M, Alavi Majd H, Nahidi F. Promoting Sexual and Reproductive Health among Married Women of Reproductive Age in Sanandaj City, Iran. Health Educ Health Promot 2024; 12 (2) :347-356
URL: http://hehp.modares.ac.ir/article-5-75308-en.html
1- Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti Medical University, Tehran, Iran
Abstract:   (303 Views)
Aims: The purpose of this study was to explore the experiences of married women in promoting sexual and reproductive health behaviors.
Participants & Methods: This qualitative study was conducted from December 2019 to March 2022 in Sanandaj, Iran. Data were collected through individual semi-structured interviews with 23 married women of reproductive age. In order to enhance the information gathered from participant interviews, some interviews with 6 experts were also conducted. Data were analyzed using the conventional content analysis approach of Graneheim and Lundman.
Findings: Through the process of combining overlapping phrases and eliminating similar and duplicate codes, a final set of 76 codes, 23 subcategories, 6 categories and 3 themes were detected which all categorized under the umbrella of personal empowerment
Conclusion: Women adopt various behaviors to enhance their fertility and sexual health. These behaviors include self-regulation, improved communication with spouses and relatives, and maintaining a healthy sexual life.
Full-Text [PDF 682 kb]   (442 Downloads) |   |   Full-Text (HTML)  (18 Views)  
Article Type: Qualitative Research | Subject: Sexual Health Education/Promotion
Received: 2024/05/26 | Accepted: 2024/08/11 | Published: 2024/08/30
* Corresponding Author Address: Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali-Asr Avenue, Cross of Vali-Asr and Neiaiesh Highway, opposite to Rajaee Heart Hospital, Tehran, Iran. Postal Code: 199683

References
1. Joulaei H, Maharlouei N, Lankarani KB, Razzaghi A, Akbari M. Narrative review of women's health in Iran: Challenges and successes. Int J Equity Health. 2016;15:25. [Link] [DOI:10.1186/s12939-016-0316-x]
2. Edwards WM, Coleman E. Defining sexual health: A descriptive overview. Arch Sex Behav. 2004;33(3):189-95. [Link] [DOI:10.1023/B:ASEB.0000026619.95734.d5]
3. Mohamad Taghvaee V, Assari Arani A, Nodehi M, Khodaparast Shirazi J, Agheli L, Neshat Ghojogh HM, et al. Sustainable development goals: Transportation, health and public policy. Rev Econ Polit Sci. 2023;8(2):134-61. [Link] [DOI:10.1108/REPS-12-2019-0168]
4. Bacchus LJ, Colombini M, Pearson I, Gevers A, Stöckl H, Guedes AC. Interventions that prevent or respond to intimate partner violence against women and violence against children: A systematic review. Lancet Public Health. 2024;9(5):e326-38. [Link] [DOI:10.1016/S2468-2667(24)00048-3]
5. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. Hoboken: Prentice Hall; 2006. [Link]
6. Eisenberg ME, Bernat DH, Bearinger LH, Resnick MD. Support for comprehensive sexuality education: Perspectives from parents of school-age youth. J Adolesc Health. 2008;42(4):352-9. [Link] [DOI:10.1016/j.jadohealth.2007.09.019]
7. PAHO. Promoting sexual health: Recommendations for action. Washington, DC: Pan American Health Organization; 2000. [Link]
8. Leekuan P, Kane R, Sukwong P, Kulnitichai W. Understanding sexual and reproductive health from the perspective of late adolescents in Northern Thailand: A phenomenological study. Reprod Health. 2022;19(1):230. [Link] [DOI:10.1186/s12978-022-01528-1]
9. Morowatisharifabad MA, Rahimi T, Farajkhoda T, Fallahzadeh H, Mohebi S. Exploring the feelings of Iranian women of reproductive age about health care seeking behavior: A qualitative study. Health Promot Perspect. 2018;8(1):71-8. [Link] [DOI:10.15171/hpp.2018.09]
10. Maryam B, Fatemeh S, Nourossadat K, Saeideh N, Giti O. Women's awareness of ovarian cancer risk factors and symptoms in Western Iran in 2020-2021. BMC Womens Health. 2022;22(1):192. [Link] [DOI:10.1186/s12905-022-01779-x]
11. Abedi P, Jorfi M, Afshari P, Fakhri A. How does health-promoting lifestyle relate to sexual function among women of reproductive age in Iran?. Glob Health Promot. 2018;25(3):15-21. [Link] [DOI:10.1177/1757975917706831]
12. Darebo TD, Spigt M, Teklewold B, Badacho AS, Mayer N, Teklewold M. The sexual and reproductive healthcare challenges when dealing with female migrants and refugees in low and middle-income countries (a qualitative evidence synthesis). BMC Public Health. 2024;24(1):520. [Link] [DOI:10.1186/s12889-024-17916-0]
13. Bakht R, Dolatian M, Hajian S, Montazeri A, Majd HA, Zare E. Women's reproductive health literacy: A qualitative study. Int J Womens Health Reprod Sci. 2023;11(1):16-24. [Link] [DOI:10.15296/ijwhr.2023.04]
14. Fauziah M, Rabbany NN. Behavioral prevention of sexual transmitted infections in female sexual workers in Puncak, Bogor. Int J Healthc Res. 2018;1(2):50-8. [Link] [DOI:10.12928/ijhr.v1i2.754]
15. Cipres D, Rodriguez A, Alvarez J, Stern L, Steinauer J, Seidman D. Racial/ethnic differences in young women's health-promoting strategies to reduce vulnerability to sexually transmitted infections. J Adolesc Health. 2017;60(5):556-62. [Link] [DOI:10.1016/j.jadohealth.2016.11.024]
16. Lim S, Raymo JM. Marriage and women's health in Japan. J Marriage Fam. 2016;78(3):780-96. [Link] [DOI:10.1111/jomf.12298]
17. Perski O, Keller J, Kale D, Asare BY, Schneider V, Powell D, et al. Understanding health behaviours in context: A systematic review and meta-analysis of ecological momentary assessment studies of five key health behaviours. Health Psychol Rev. 2022;16(4):576-601. [Link] [DOI:10.1080/17437199.2022.2112258]
18. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. [Link] [DOI:10.1016/j.nedt.2003.10.001]
19. Guba EG, Lincoln YS. Competing paradigms in qualitative research. In: Handbook of qualitative research. Washington DC: Sage Publications; 1994. p. 105-17. [Link]
20. Moodi S, Mehrbakhsh Z, Amtaeh F, Moghasemi S. Comparing the self-awareness and problem-solving skills training on sexual desire of newly married women: A field trial study. J Educ Health Promot. 2023;12:226. [Link] [DOI:10.4103/jehp.jehp_739_22]
21. Bernstein EE, McNally RJ. Exercise as a buffer against difficulties with emotion regulation: A pathway to emotional wellbeing. Behav Res Ther. 2018;109:29-36. [Link] [DOI:10.1016/j.brat.2018.07.010]
22. Afshani AR, ShiriMohammadabad H. The study of relationship between life satisfaction and social health of Yazd city women. Tolooe Behdasht. 2016;15(2):34-44. [Persian] [Link]
23. Osamor PE, Grady C. Women's autonomy in health care decision-making in developing countries: A synthesis of the literature. Int J Womens Health. 2016;8:191-202. [Link] [DOI:10.2147/IJWH.S105483]
24. Kariman N, Simbar M, Ahmadi F, Vedadhir AA. Socioeconomic and emotional predictors of decision making for timing motherhood among Iranian women in 2013. Iran Red Crescent Med J. 2014;16(2):e13629. [Link] [DOI:10.5812/ircmj.13629]
25. Mataji Amirroud M, Ghaffari M, Ramezankhani A, Soori H. Barriers to empowering assertive behavior in dealing with spousal violence in Iranian married women: A qualitative approach. J Aggress Maltreatment Trauma. 2024;33(4):451-71. [Link] [DOI:10.1080/10926771.2023.2240249]
26. Soltani Ramezan Zadeh M, Rasoulian M, Mohammadsadeghi H, Ahmadzad-Asl M, Nohesara S, Soraya S, et al. The effect of communication skills training and conflict resolution tactics on marital satisfaction of married women in Kermanshah. J Iran Med Counc. 2020;3(2):79-88. [Link]
27. Abolghasemi J, Jafari F, Samani LN, Rimaz S. Predictors of marital satisfaction among reproductive-age women based on personality traits: A study in Iran. Cureus. 2024;16(5):e59610. [Link] [DOI:10.7759/cureus.59610]
28. Etemadifrd S. Decision-making patterns among Iranian family members. OIDA Int J Sustain Dev. 2015;8(10):21-8. [Link]
29. Vizheh M, Zurynski Y, Braithwaite J, Moghadam ZB, Rapport F. Impact of agency on Iranian women's access to and utilisation of reproductive healthcare services: A qualitative study. Sex Res Soc Policy. 2024;21:676-89. [Link] [DOI:10.1007/s13178-024-00938-z]
30. Taherkhani S, Negarandeh R, Simbar M, Ahmadi F. Barriers to seeking help among abused Iranian women. J Adult Protect. 2017;19(5):261-73. [Link] [DOI:10.1108/JAP-03-2017-0007]
31. Aghakhani N, Lopez V, Parizad N, Baghaei R. "It was like nobody cared about what I said?" Iranian women committed self-immolation: A qualitative study. BMC Womens Health. 2021;21(1):75. [Link] [DOI:10.1186/s12905-021-01221-8]
32. Soltani F, Azizi R, Sourinegad H, Shayan A, Mohammadi Y, Khodakarami B. Sexual knowledge and attitude as predictors of female sexual satisfaction. Biomed Res Ther. 2017;4(12):1874-84. [Link] [DOI:10.15419/bmrat.v4i12.398]
33. Nejad SH, Bokaie M, Ardekani SM. Effectiveness of sexual health counseling based on mindfulness approach on sexual satisfaction in women suffering from infertility: An RCT. Int J Reprod Biomed. 2023;21(2):147-58. [Link] [DOI:10.18502/ijrm.v21i2.12805]
34. Mariani A, Seweng A, Ruseng SS, Moedjiono AI, Abdullah T, Anshary A, et al. The relationship between knowledge and personal hygiene and the occurrence of sexually transmitted diseases at the Community Health Center Talise, Palu. Gaceta Sanitaria. 2021;35(Suppl 2):S164-7. [Link] [DOI:10.1016/j.gaceta.2021.10.016]
35. Rossetto KR, Tollison AC. Feminist agency, sexual scripts, and sexual violence: Developing a model for postgendered family communication. Fam Relat. 2017;66(1):61-74. [Link] [DOI:10.1111/fare.12232]
36. Barrow RY, Ahmed F, Bolan GA, Workowski KA. Recommendations for providing quality sexually transmitted diseases clinical services, 2020. MMWR Recomm Rep. 2020;68(RR-5):1-20. [Link] [DOI:10.15585/mmwr.rr6805a1]
37. Cheraghi P, Poorolajal J, Moeini B, Cheraghi Z. Predictors of unintended pregnancy among married women in Hamadan, Western Iran: A case-control study. Iran J Public Health. 2013;42(8):854-9. [Link]
38. Asadisarvestani K, Leng Khoo S, Malek NM, Yasin SM, Ahmadi A. Determinants of contraceptive usage among married women in Shiraz, Iran. J Midwifery Reprod Health. 2017;5(4):1041-52. [Link] [DOI:10.17795/whb-38928]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.